Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nusibah Khaled Altayib, DDS

Individual provider Dentist · NPI 1629366919

Nusibah Khaled Altayib, DDS is a Dentist in Rochester, Minnesota. Works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

973 Skyline Dr SW
Rochester, MN 55902
Phone: (507) 424-1040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3735 Jewella Ave, Shreveport, LA 71109-4703 — (318) 759-0131

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence PENDING (LA)
Dentist Taxonomy 122300000X · Licence PENDING (LA)

Record details

NPI number1629366919
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 20, 2011
Last updated in NPPESMay 31, 2019
Mailing address973 Skyline Dr Sw, Rochester, MN 55902-1220

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